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What a Skin Tag Is, and When to Have One Removed

Skin tags are almost always harmless. Here is how to tell one from something that needs a closer look, and when removal is worth it.
What a Skin Tag Is, and When to Have One Removed

People live with skin tags for years. Then they mention one at the end of an appointment, almost as an apology, while putting their coat on.

They are harmless. That is why they get ignored, and it is also why nobody ever explains them properly.

What a skin tag is

A skin tag is a small, soft piece of skin that grows out on a narrow stalk. It is made of the same stuff as the rest of your skin. It is not a growth in the sense people worry about.

They turn up where skin rubs against skin or against clothing. The neck, the underarms, the eyelids, under the bust, the groin. Where one appears tells us most of what we need.

They are common, they tend to appear in families, and they appear more with age. Some people get one. Some people get dozens.

Why they appear

Friction is the main one. Skin tags form where skin moves against skin over and over. That is why the list of usual spots is a list of places that rub.

They also show up more during pregnancy and more with weight gain, both of which come back to hormones and to more skin contact.

None of that means you did anything wrong. They are not caused by poor hygiene and they are not contagious.

When to leave it alone

Most of the time, leave it.

Take a skin tag that has been the same size and colour for years, in a spot that does not catch on anything. If it does not bother you, it is not a problem.

Removing it is a cosmetic choice, and there is nothing medically wrong with deciding against it. We would sooner tell you that than remove something you were fine with.

When removal is worth it

There are three good reasons, and they are all practical.

  • It catches. On a necklace, a bra strap, a collar, a razor. A tag that gets snagged gets sore,

and a sore one bleeds and heals and gets caught again.

  • It is somewhere it gets irritated. Underarms and the groin rub all day, so a tag there is a

constant low level annoyance.

  • You do not like looking at it. That counts. It needs no medical justification, and nobody here

will ask you for one.

What is not a reason: worry that it is turning into something. If that is the worry, the answer is to have it looked at, not to have it removed.

When to get it checked first

This is the most important part of the article, and it is short.

Have a spot looked at before anything is done to it if it is doing any of these.

  • Changing size, shape or colour.
  • Showing more than one colour, or a colour that is not your skin colour.
  • Bleeding without being caught on anything.
  • Itchy, crusting, or not healing.
  • Firm, flat, or attached broadly to the skin instead of hanging on a narrow stalk.
  • New, when you are past the age where you usually get new ones.

Several harmless things look like skin tags, and a small number of things that are not harmless can too. The narrow stalk is the most useful feature. Skin tags hang, and most of the things worth checking do not.

This is not a reason to panic about a spot you have had for a decade. It is a reason to have it looked at by someone before it is removed, because once a spot is gone it cannot be examined.

Why we do not tell you to do it yourself

The internet is full of home removal advice. Strings, clippers, freezing kits, oils.

We recommend none of it, for two boring reasons.

First, doing it yourself hurts more than having it done, and it is more likely to leave a mark. Second, it removes the spot without anyone having looked at it.

If it was not a skin tag, you have just thrown away the only evidence.

What the appointment looks like

Short. Most of it is looking.

We check the spot and confirm it is what you think it is. We look at anything else you want checked while you are here. People almost always have a second one they had forgotten about.

If it is straightforward, removal is a small in office procedure, usually the same visit. If anything about it does not look routine, we say so and refer it instead of removing it.

Healing

Small, and dull, which is what you want.

There is usually a tiny scab that lifts on its own over the following days. Clean and dry for the first day, then leave it alone.

Do not pick the scab. Picking is what turns a mark that would have vanished into a permanent one.

Spots in high friction areas take a little longer, because the friction has not gone away.

Where to start

If you have been meaning to ask about one for a while, that is the whole threshold. You do not need it to be a problem first.

Our skin tag removal in London, Ontario page covers what the visit involves and what to expect afterwards.

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